- Mount Sinai Hospital (New York, NY)
- …- our goal is to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Astrana Health, Inc. (El Monte, CA)
- …calls Pharmacy - Drug/medication pick up and coverage Provide authorization status for Hospital /CM Dept Self-Referral Request for Medicare Return Mail Track ... at all times Specialist termination notifications sent to members Urgent Medicare Authorization Approval - Notification to Medicare members Transportation… more
- Ensemble Health Partners, Inc. (Front Royal, VA)
- …LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between ... VA and candidates must sit on site at the hospital . We are searching for the next Patient Access...distributes patient education documents, such as Important Message from Medicare , Important Message from Tricare, Observation Forms, MOON form,… more
- NorthShore (Arlington Heights, IL)
- …Analyzes and electronically records data and processes transactions into the hospital computer system. Follows HIPAA, payer and other applicable regulations and ... Explains, secures and witnesses all required signatures. Completes the Medicare Secondary Payer (MSP) questionnaire when applicable. Scans insurance cards,… more
- Optum (San Antonio, TX)
- …Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues Participates in and contributes to the overall pharmacy ... coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program… more
- Optum (San Antonio, TX)
- …Provides support to internal staff, subcontractors and providers with respect to Medicare drug related issues Participates in and contributes to the overall pharmacy ... coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program… more
- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... promotion strategies May develop and utilize relationships with specialists, key hospital decision-makers, and other individuals who make or influence the… more
- Kaiser Permanente (Hillsboro, OR)
- …acute hospital and Kaiser Permanente internal resources. Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital , ... admitted to the correct level of care for accurate billing and reimbursement , provide quality, cost effective clinical coordination/care management in acute care and… more
- CentraState Healthcare System (Freehold, NJ)
- …other regulatory agency rules and regulations including The Joint Commission, CMS, Medicare , including but not limited to, knowledge of CMS rules regarding ... Observation status, the 2 Midnight Rule, and Medicare Inpatient Only Procedures. Maintains knowledge of continuum of cares resources and provides education and… more
- Kestra Medical Technologies, Inc (Roanoke, VA)
- …provides training, on-going product service and support, and assistance in the reimbursement process. ESSENTIAL DUTIES * Responsible for the sales and ongoing ... *Post offer, must be able to achieve credentialing for hospital system entry including, but not limited to: Documentation...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- UCare (Minneapolis, MN)
- ABOUT UCARE UCare offers Medicare , Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams ... goal is to develop, negotiate, implement, oversee and maintain professional, hospital , ancillary and/or care system provider contracts. Your team is responsible… more
- UC Health (Denver, CO)
- …Eligible to provide services reimbursable services and maintain provider status with Medicare and Medicaid. Eligible to provide services with no sanctions or ... provide services reimbursable services and maintain provider status with Medicare and Medicaid. Eligible to provide services with no...pre-paid by UCHealth or in the form of tuition reimbursement each calendar year. About UCHealth UCHealth is an… more
- Trinity Health (Silver Spring, MD)
- …- Medical, Dental & Vision, PTO, Free Parking, Metro Access, Tuition Reimbursement , 403(b) Quality of Life: Flexible work schedules Advancement: Career growth ... professional and efficient manner. Process credit card payments for various hospital departments and record transactions as indicated by accounting department… more
- UnitedHealth Group (Boulder, CO)
- …federal and state regulations. Demonstrates a working knowledge of managed care and Medicare health plans as well as reimbursement related to post-acute services ... as appropriate. CM may be assigned to various units throughout the hospital or the Emergency Department. Primary Responsibilities: The CM will be responsible… more
- Johns Hopkins Healthcare (St. Petersburg, FL)
- …eligibility and benefits for all third party payers to ensure proper reimbursement for services Obtains complete and accurate demographic and billing information by ... the correct insurance plan and subscriber information to ensure proper reimbursement for services Resolves all patients' financial issues, including arrangement for… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Medical Center. These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, ... to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based Appeals Management e. Provides guidance and interpretation on issues… more
- UHS (Murrieta, CA)
- …Ambulatory Surgery Center, licensed by the State of California, certified by Medicare , and accredited by the Accreditation Association for Ambulatory Health Care. ... Our center is designed for patients having elective, one-day surgery with no hospital stay. The purpose is to provide a patient-focused approach to outpatients… more
- Rochester Regional Health (Newark, NY)
- Job Title: Administrative Coordinator Department: Radiology Imaging Location: Newark Wayne Hospital Hours Per Week: Per Diem Schedule: Monday - Friday 8:00AM - ... information. Conducts reviews of cost outliers and collaborates with other hospital operating areas to recover billed charges. Tracks reporting activities and… more
- Community First Medical Center (Chicago, IL)
- …Short-term Disability | Company Paid Life Insurance | 401(k) | Voluntary Benefits: Hospital Indemnity & Critical Illness | Tuition Reimbursement & Continuing ... and adjudication on all claims submitted to third party carriers, Medicaid, Medicare . Respond to all inquiries according to PFS policy and procedures. This… more
- VITAS Healthcare (Maitland, FL)
- …conversations for families facing serious illness Champion the benefits of the Medicare hospice benefit Work alongside clinical partners to ensure patients receive ... engaging across your territory. Whether it's a physician's office, hospital , or care facility-you'll go where the need is,...match - Cancer and/or critical illness benefit - Tuition Reimbursement - Paid Time Off - Employee Assistance Program… more
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